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1801475009
KAITLYN CHRISTINE PROCTOR
NEWPORT NEWS, VA
NPI
1801475009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-05
Last Update Date
2024-05-15
Business Address
KAITLYN CHRISTINE PROCTOR DO
12655 WARWICK BLVD # A
NEWPORT NEWS, VA 23606-2501
Phone number: 757-595-9880
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Mailing Address
KAITLYN CHRISTINE PROCTOR DO
860 OMNI BLVD STE 128
NEWPORT NEWS, VA 23606-4483
Phone number:
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